The baby was found to have jaundice with a bilirubin level of 261 μmol/L on day 5. How should this be treated?

Sep 05, 2024 Source: Cainiu Health
Disease description:

Our child was born not long ago and has been detected with a bilirubin level of 261 μmol/L. We would like to ask, how should this condition be treated?

Doctor's answer (1)
Dr. Zhou Xiaofeng

For neonatal jaundice, timely intervention is necessary when the bilirubin level reaches 261 umol/L to avoid the risk of kernicterus.

Treatment recommendations:

1. Phototherapy: Blue light irradiation is a commonly used treatment method, which helps promote the resolution of jaundice and bilirubin metabolism.

2. Exchange transfusion: If the bilirubin level is extremely high or phototherapy is ineffective, exchange transfusion may be required. This is a more direct but higher-risk treatment method used to rapidly reduce bilirubin concentration in the blood.

3. Breastfeeding: Breastfeeding is encouraged because breast milk contains abundant nutrients and immune factors that help enhance the infant's immunity.

4. Sun exposure: For infants with physiological jaundice, appropriate sun exposure can dilate skin blood vessels through ultraviolet light and promote bilirubin excretion. However, it is important to protect the infant's eyes and skin, avoiding prolonged direct exposure to sunlight.

If jaundice levels continue to rise or the above treatments are ineffective, prompt medical attention is advised.